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OPTUM - BOTHELL
NPI 1770006330
Durable Medical Equipment & Medical Supplies in Bothell, WA

Active since July 25, 2017CLIA Certified · 2 labs
9924 NE 185TH ST, BOTHELL, WA 98011(425) 595-3830 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 11, 2024, Mar 27, 2018, Jul 25, 2017 (3 updates tracked since 2017).

About Optum - Bothell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTUM - BOTHELL (NPI 1770006330) is a healthcare organization registered as a durable medical equipment & medical supplies in Bothell, Washington and active in the NPI registry since July 2017. The organization holds 2 active CLIA laboratory certificates and lists George Go, Board President, as its authorized official.

NPPES Registry Identity

NPI1770006330
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameOPTUM CARE WASHINGTON PLLC
Location Address9924 NE 185TH STBothell, WA 98011-3502
Mailing AddressPo Box 5127Everett, WA 98206-5127
Phone(425) 595-3830
Organization SubpartYesParent: Everett Physicians, Inc. P.s.
Authorized OfficialGeorge GoBoard President · (425) 259-0966
Enumeration DateJuly 25, 2017
Last NPPES UpdateApril 11, 20243 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1770006330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 50D2137850 (WA)
9924 NE 185TH ST, Bothell, WA 98011
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Other Names 1

Other NameOptum - Bothell

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2137850

Optum Care Washington · Bothell, WA
Active · expires Apr 4, 2028
CLIA Number50D2137850
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJessica Estepp
Laboratory Phone(425) 659-7113
Laboratory LocationOptum Care Washington9924 NE 185th St Ste 215, Bothell, WA 98011
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D2348199

Optum Care Washington, PLLC · Bothell, WA
Active · expires Apr 4, 2028
CLIA Number50D2348199
Laboratory TypePhysician Office
Certificate Effective DateAugust 3, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAmy Cheng
Laboratory Phone(425) 405-8288
Laboratory LocationOptum Care Washington, PLLC9925 NE 185th Street, Suite 215, Bothell, WA 98011
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLYSON LOHRMANN ARNP
Nurse Practitioner (Family)
9924 NE 185TH ST
BOTHELL, WA 98011
King County (425) 259-0966
KATIE VU DO
Family Medicine
9924 NE 185TH ST
BOTHELL, WA 98011
King County (425) 595-3830
SHAHRIYAR A LEILABADI MD
Family Medicine
9924 NE 185TH ST
BOTHELL, WA 98011
King County (425) 595-3830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optum Care Washington PLLC's NPI number?

The NPI number for Optum Care Washington PLLC is 1770006330. It was assigned to this organization in the NPPES registry on July 25, 2017. The provider is also known as Optum - Bothell.

Where is Optum Care Washington PLLC located?

Optum Care Washington PLLC is located at 9924 NE 185th St, Bothell, WA 98011. The listed phone number is (425) 595-3830.

What is Optum Care Washington PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Optum Care Washington PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Optum Care Washington PLLC was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.